R65-19177-97719
3 vaccinations
3 coded responses
5 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 028 / RI
- Registered
- 2021-10-19
- Relationship
- Child or adolescent in my care
- Guardian
- 4G2-75988-99781
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Dose 1 — Pfizer-BioNTech
-
2021-04-18
Dose 2 — Pfizer-BioNTech
-
2021-10-19
Registered in v-safe
- 2021-10-19
-
2021-10-23
Dose 3 — Pfizer-BioNTech
- 2021-11-29
-
2021-12-04
Survey response — day 42, dose 3, dependentMedDRA: Fatigue — Feeling: Good · Be unable to work or attend schoolFree text: FatiguedMedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Survey response — 3 months, dose 3, dependentMedDRA: COVID-19, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection treated with augmentin in December 22 January 10 contracted Covid19 at (b)(6) high school while he has his KN95 mask off for ten minutes for lunch at a hallway table on the second floor. Closest contact 6 ft away.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — 3 months, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-25
-
2022-04-23
Survey response — 6 months, dose 3, dependentMedDRA: COVID-19, Cough, Exposure to SARS-CoV-2, Headache, Office visit, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Covid in January, 2022. Tested positive after a ten minute exposure at return to school January 4, 2022 (4 days later and symptoms - out until day 9). Two weeks ago sick for three days: headache, cough, sore throat; tested negative. Today: headache. · Healthcare visit (other): Dr visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Report sent to call center — 6 months, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | No |
| 2 | 2021-04-18 | Pfizer-BioNTech | No |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — day 42, dose 3, dependent
Symptoms: Fatigued
Release 11 — 3 months, dose 3, dependent
Symptoms: Sinus infection treated with augmentin in December 22 January 10 contracted Covid19 at (b)(6) high school while he has his KN95 mask off for ten minutes for lunch at a hallway table on the second floor. Closest contact 6 ft away.
redacted (b)(6)
Release 11 — 6 months, dose 3, dependent
Symptoms: Covid in January, 2022. Tested positive after a ten minute exposure at return to school January 4, 2022 (4 days later and symptoms - out until day 9). Two weeks ago sick for three days: headache, cough, sore throat; tested negative. Today: headache. cut off by CDC
Healthcare visit (other): Dr visit
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release